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Chapter-10 Radiological Evaluation in Mitral Stenosis

BOOK TITLE: Percutaneous Mitral Valvotomy

Author
1. S Harikrishnan
2. Harivadan Bhavesh
ISBN
9789352701926
DOI
10.5005/jp/books/14152_11
Edition
2/e
Publishing Year
2018
Pages
7
Author Affiliations
1. Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Thiruvananthapuram, Kerala, India, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India, Sree Chitra Tirunal Institute for Medical Sciences and Technology Thiruvananthapuram, Kerala, India, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India, Sree Chitra Tirunal Institute for Medical, Sciences and Technology, Trivandrum, Kerala, India, Sree Chitra Tirunal Institute for Medical Sciences & Technology (SCTIMST), Thiruvananthapuram, Kerala, India
2. Municipal Hospital Ahmedabad, Gujarat, India, Zydus Hospital, Gujarat, India
Chapter keywords
Radiological evaluation, mitral stenosis, MS, percutaneous mitral valvotomy, PMV, pulmonary hypertension, subvalvular disease, left ventricular angiography

Abstract

This chapter describes radiological evaluation in mitral stenosis (MS). Radiological evaluation using chest X-ray and angiography was the major modality to assess MS before the advent of echocardiography. Angiography, as a modality in assessment of MS is now limited to assessment of mitral regurgitation (MR) during percutaneous mitral valvotomy (PMV). The chest X-ray findings in MS are generally a consequence of left atrial enlargement, mitral valve calcification, pulmonary hypertension and right heart failure. Use of left ventricular (LV) angiography in mitral stenosis at present is limited to assessment of MR during PMV. However, prior to widespread availability of echocardiography, LV angiography was utilized to assess the severity of MS and the severity of subvalvular disease.

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